Indirect reduction technique using a distraction support in minimally invasive percutaneous plate osteosynthesis of
Wen-Wei Dong1, Zeng-Yuan Shi, Zheng-Xin Liu
1Department of Trauma Orthopaedics, Affiliated Hospital Medical School of Ningbo University Zhejiang, Ningbo 315020, China.
Purpose:
To describe an indirect reduction technique during minimally invasive percutaneous plate osteosynthesis (MIPPO) of tibial shaft fractures with the use of a distraction support.
Methods:
Between March 2011 and October 2014, 52 patients with a mean age of 48 years (16-72 years) sustaining tibial shaft fractures were included. All the patients underwent MIPPO for the fractures using a distraction support prior to insertion of the plate. Fracture angular deformity was assessed by goni- ometer measurement on preoperative and postoperative images.
Results:
Preoperative radiographs revealed a mean of 7.6°(1.2°-28°) angulation in coronal plane and a mean of 6.8°(0.5°-19°) angulation in sagittal plane. Postoperative anteroposterior and lateral radio- graphs showed a mean of 0.8°(0°-4.0°) and 0.6°(0°-3.6°) of varus/valgus and apex anterior/posterior angulation, respectively. No intraoperative or postoperative complications were noted.
Conclusions:
This study suggests that the distraction support during MIPPO of tibial shaft fractures is an effective and safe method with no associated complications.
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